Training a Patient Safety Work Force

The Patient Safety Improvement Corps

Published in: HSR, Health services research, v. 44, no. 2, pt. 2, Apr. 2009, p. 717-738

Posted on RAND.org on April 01, 2009

by Stephanie S. Teleki, Cheryl L. Damberg, Melony E. Sorbero, Rebecca Shaw, Lily Bradley, Denise D. Quigley, Allen Fremont, Donna O. Farley

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OBJECTIVE: Evaluate short-term effects of the Patient Safety Improvement Corps (PSIC), an Agency for Healthcare Research and Quality-sponsored program to train state teams in patient safety skills/tools, to assess its contribution to building a national infrastructure supporting effective patient safety practices. DATA SOURCE: Self-reported information gathered from (1) group interviews at the end of each year; (2) individual telephone interviews 1 year later; (3) faxed information forms 2 years later. STUDY DESIGN: Program evaluation of immediate and short-term process and impact (use of skills/tools, information sharing, changes in practice). DATA COLLECTION: Semistructured interviews; faxed forms. PRINCIPAL FINDINGS: One year after training, approximately half of Year 1 and 2 state agency representatives reported they had initiated or modified legislation to strengthen safe practices, and modified adverse event oversight procedures. Approximately three-quarters of hospital representatives said training contributed to modifications to adverse event oversight procedures and promotion of patient safety culture. Two years posttraining, approximately three-quarters of Year 1 trainees said they continued to use many skills/tools. CONCLUSIONS: The PSIC contributed to building a national infrastructure supporting effective patient safety practices. Expanded training is needed to reach a larger fraction of the population for which this training is important.

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